《妇人良方》曰∶妇人血分，如夺命丹、黑神散，皆为要药。血分一证，大小产后多有之。唯胎前脚肿不
同，产后则皆败血所致，当于血上求之。
《妇人良方》曰∶先因经水断绝，后至四肢浮肿，小便不通，血化为水，名曰血分。椒仁丸药虽峻利，所
用不多。若畏而不服，有养病害身之患。尝治虚弱人，亦未有误也。
《济阴》按∶血既化为水，则以利水为先，而行血温血，开结破气，又不可少。然非峻利气悍之物不可，
故又佐以大毒之药。
慎斋按∶以上四条，序治血分用药之大法也。夫血分属妇人经水不通而致，必是六淫外侵，七情内伤，
以致脾胃虚衰，不能运化精微。故血壅不流，气不能化，法当补脾健胃，扶养气血，佐以温经行血之剂可也。
椒仁丸，有斑蝥、砒信、甘遂、芫花、黑丑、 青，群队大毒之药以攻之，祸有不可胜言者。
《大全》乃曰∶治虚弱人未见有误，是何言欤。
《金匮要略》曰∶妇人咽中如有炙脔，半夏浓朴汤主之。
徐忠可曰∶此条即所谓寒伤经络，凝坚在上也。炙脔，譬如干肉也。《千金》所谓咽中帖帖，如有炙肉，
吐之不出，吞之不下，状如有炙脔，数语甚明切。此病不因肠胃，故不碍饮食二便。不因表邪，故无骨痛寒热，
乃气为积寒所伤，不与血和，血中之气溢而浮于咽中，得水湿之气而凝结难移。妇人血分受寒，多积冷结气，
最易得此病，男子亦间有之。药用半夏浓朴汤，乃二陈汤去陈皮、甘草，加浓朴、紫苏、生姜也。半夏降逆，浓
朴兼散结，故主之。生姜、茯苓，宣至高之滞，而下其湿。苏叶味辛气香，色紫性温，能入阴和血，兼归气于
血，夏天暑伤心阴，能下暑郁。而炙脔者用之，则气与血和，不复上浮也。
论曰∶余治王小乙，咽中每噎塞，嗽不出，以半夏浓朴汤投之即愈。后每复发。细问之云，夜中灯下，
每见晕如团，五色，背脊内间酸。其人又壮盛，知夏初因受寒，阴气不足，而肝反郁热，甚则结寒微动，挟肾
气上冲，咽喉塞噎也。即于此方加大剂枸杞、菊花、丹皮、肉桂，晕乃渐除，咽中亦愈，故曰男子间有之，
信不诬也。
《妇人良方》说：妇女的血分病，像夺命丹、黑神散，都是重要的药物。血分这一证候，在大小产之后多有发生。只有怀孕前脚肿的情况不同，产后则都是由败血（瘀血）所致，应当从血分方面去寻求治疗。
《妇人良方》说：起初因为月经停止，后来出现四肢浮肿，小便不通畅，血液化为水液，名叫血分。椒仁丸药性虽然猛烈峻利，但使用的人不多。如果因为畏惧而不服用，会有因养病反而伤害身体的祸患。我曾经治疗虚弱的人，也没有出现过失误。
《济阴纲目》按语：既然血液已经化为水液，就应当以利水为先，而行血、温血、开结、破气的方法，也不可缺少。然而不是药性猛烈峻利、气势强悍的药物不可行，所以又辅助以大毒性的药物。
慎斋按语：以上四条，叙述了治疗血分病用药的大法。血分属于妇女经水不通而导致，必定是六淫（风、寒、暑、湿、燥、火六种外感病邪）外侵，七情（喜、怒、忧、思、悲、恐、惊七种情志变化）内伤，导致脾胃虚衰，不能运化精微物质。因此血液壅滞不流，气机不能化生，治法应当补脾健胃，扶养气血，佐以温经行血的药剂即可。椒仁丸含有斑蝥、砒信（砒霜与信石）、甘遂、芫花、黑丑（牵牛子）、青黛等，是一群大毒性的药物来攻伐，灾祸有说不尽的严重。《大全》却说：治疗虚弱的人未见有误，这是什么话呢？
《金匮要略》说：妇女感觉咽喉中好像有烤肉块堵着，用半夏厚朴汤主治。
徐忠可说：这条所说的就是所谓的寒邪损伤经络，凝结坚固在上部。炙脔，就像干肉一样。《千金方》所说的咽喉中贴贴不适，好像有烤肉，吐不出来，吞不下去，形状好像有烤肉，这几句话非常明白确切。这个病不涉及肠胃，所以不影响饮食和二便。不涉及表邪，所以没有骨痛和寒热症状，这是气被积寒所伤，不与血调和，血中的气溢出并浮于咽喉中，遇到水湿之气而凝结难以移动。妇女血分受寒，多积聚冷气和结气，最容易得这个病，男子也有偶尔发生的。药用半夏厚朴汤，就是二陈汤去掉陈皮、甘草，加上厚朴、紫苏、生姜。半夏降逆，厚朴兼能散结，所以用它为主药。生姜、茯苓，宣通高处的滞气，并下行湿气。苏叶味辛气香，色紫性温，能入阴分和血，兼能将气归于血，夏天暑热伤心阴，能下解暑热郁结。而针对炙脔这种病使用它，那么气与血调和，不再上浮。
论述说：我治疗王小乙，咽喉中经常噎塞，咳嗽不出，用半夏厚朴汤投服立即痊愈。后来每次复发。仔细询问他说，夜里灯下，经常看见晕圈像团状，五色，背脊内部酸痛。这个人身体又壮实，知道初夏时因为受寒，阴气不足，而肝反而郁热，严重时结寒微微动摇，挟带肾气上冲，导致咽喉堵塞噎闷。就在这个方子里加大剂量的枸杞、菊花、丹皮、肉桂，晕圈才逐渐消除，咽喉中也好了，所以说男子也有偶尔发生的，确实不虚假。
The *Furen Liangfang* (Excellent Prescriptions for Women) states: For women's blood-division disease (Xuefen Bing, a condition involving menstrual disorders and edema), drugs such as Duoming Dan (Life-Restoring Pill) and Heishen San (Black Divine Powder) are essential medications. This syndrome of blood division often occurs after minor or major childbirth. The only difference is that edema of the feet during pregnancy is distinct; postpartum cases are all caused by敗血 (Baixue, retained blood/stasis), so treatment should seek solutions from the blood aspect.
The *Furen Liangfang* states: Initially due to the cessation of menstruation, followed by edema of the four limbs and obstruction of urination, where blood transforms into water, it is named blood division (Xuefen). Although the pill Jiaoren Wan (Pepper Kernel Pill) is potent and purgative, it is rarely used. If one fears it and refuses to take it, there is a risk of harming the body while attempting to nurture health. I have treated weak patients with it without error.
Commentary in *Jiyin Gangmu*: Since blood has transformed into water, promoting diuresis should be prioritized, yet methods to move blood, warm blood, open stagnation, and break qi stagnation are indispensable. However, only potent, fierce, and aggressive substances will suffice, hence they are assisted by highly toxic drugs.
Shenzhai’s Note: The above four points outline the general principles for medicating blood division. Blood division arises from amenorrhea in women, inevitably caused by the invasion of Six Evils (Liu Yin, pathogenic factors like wind, cold, dampness, etc.) externally and Seven Emotions (Qi Qing, emotional disturbances) internally, leading to deficiency and decline of Spleen and Stomach, which fail to transport and transform essence. Consequently, blood becomes congested and stagnant, and Qi fails to transform. The method should involve tonifying the Spleen and strengthening the Stomach, nurturing Qi and Blood, supplemented by formulas that warm meridians and move blood. Jiaoren Wan contains Banmao (Mylabris), Pixin (Arsenic and Realgar), Gansui (Kansui Root), Yuanhua (Genkwa Flower), Heiqiu (Black Morning Glory Seed), and Qingdai (Indigo Naturalis)—a group of highly toxic drugs used to attack the pathogen, the disasters of which are incalculable. *Daquan* claims that treating weak patients has never resulted in error; what kind of statement is this?
The *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet) states: When a woman feels as if there were a roasted meat slice stuck in her throat, Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) is indicated.
Xu Zhongke says: This clause refers to what is called cold damaging the meridians, causing凝坚 (Ningjian, coagulation and hardness) in the upper part. "Zhi luan" (roasted meat slice) resembles dried meat. As stated in *Qianjin Fang*, when the throat feels adherent, as if there were roasted meat, unable to spit it out or swallow it down, resembling a roasted meat slice, these words are very clear and precise. This disease does not involve the intestines and stomach, so it does not hinder diet or excretion. It does not involve exterior pathogens, so there is no bone pain or aversion to cold with fever. It is Qi injured by accumulated cold, failing to harmonize with Blood; the Qi within Blood overflows and floats to the throat, condensing with dampness and difficult to disperse. Women whose blood division is affected by cold often accumulate cold and qi stagnation, making them prone to this disease; men also occasionally suffer from it. The medication used is Banxia Houpo Tang, which is Erchen Tang (Two-Aged Decoction) minus Chenpi (Tangerine Peel) and Gancao (Licorice), plus Houpo (Magnolia Bark), Zisu (Perilla Leaf), and Shengjiang (Fresh Ginger). Banxia descends rebellious Qi, and Houpo disperses nodules, thus serving as the principal agent. Shengjiang and Fuling (Poria) disseminate stagnation at the highest level and descend dampness. Zisu (Perilla Leaf) is pungent in flavor and aromatic in qi, purple in color and warm in nature; it can enter the Yin to harmonize Blood, and guide Qi back into Blood. In summer, when heat damages Heart Yin, it can resolve summerheat stagnation. Applied to the "roasted meat slice" sensation, it harmonizes Qi and Blood, preventing further floating upward.
Discussion: I treated Wang Xiaoyi, who suffered from frequent choking sensations in the throat, unable to cough up phlegm. Administration of Banxia Houpo Tang led to immediate recovery. However, it recurred repeatedly. Upon detailed inquiry, he reported seeing halos like colored circles under lamplight at night, along with soreness in the spine. The patient was robust. Knowing that he had contracted cold in early summer, resulting in insufficient Yin Qi, while the Liver developed constrained heat, severe cases involved slight movement of congealed cold, carrying Kidney Qi upward, causing throat obstruction. Therefore, I added large doses of Gouqi (Goji Berry), Juhua (Chrysanthemum), Danpi (Moutan Cortex), and Rougui (Cinnamon Bark) to this formula. The halos gradually disappeared, and the throat healed. Thus, it is said that men also occasionally suffer from this, which proves true.